Originally published In Press as doi:10.1074/jbc.M409454200 on May 3, 2005
J. Biol. Chem., Vol. 280, Issue 27, 25436-25449, July 8, 2005
The Broadly Selective Human Na+/Nucleoside Cotransporter (hCNT3) Exhibits Novel Cation-coupled Nucleoside Transport Characteristics*
Kyla M. Smith
,
Melissa D. Slugoski
¶,
Shaun K. Loewen
¶,
Amy M. L. Ng
,
Sylvia Y. M. Yao
,
Xing-Zhen Chen
,
Edward Karpinski
,
Carol E. Cass||**
,
Stephen A. Baldwin
, and
James D. Young
¶¶
From the
Membrane Protein Research Group, Departments of
Physiology and||
Oncology, University of Alberta, and the**
Cross Cancer Institute, Edmonton, Alberta T6G 2H7,
Canada and the 
School of Biochemistry and
Microbiology, University of Leeds, Leeds LS2 9JT, United Kingdom
Received for publication, August 17, 2004
, and in revised form, March 24, 2005.
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ABSTRACT
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The concentrative nucleoside transporter (CNT) protein family in humans is
represented by three members, hCNT1, hCNT2, and hCNT3. hCNT3, a
Na+/nucleoside symporter, transports a broad range of physiological
purine and pyrimidine nucleosides as well as anticancer and antiviral
nucleoside drugs, and belongs to a different CNT subfamily than hCNT1/2.
H+-dependent Escherichia coli NupC and Candida
albicans CaCNT are also CNT family members. The present study utilized
heterologous expression in Xenopus oocytes to investigate the
specificity, mechanism, energetics, and structural basis of hCNT3 cation
coupling. hCNT3 exhibited uniquely broad cation interactions with
Na+, H+, and Li+ not shared by
Na+-coupled hCNT1/2 or H+-coupled NupC/CaCNT.
Na+ and H+ activated hCNT3 through mechanisms to
increase nucleoside apparent binding affinity. Direct and indirect methods
demonstrated cation/nucleoside coupling stoichiometries of 2:1 in the presence
of Na+ and both Na+ plus H+, but only 1:1 in
the presence of H+ alone, suggesting that hCNT3 possesses two
Na+-binding sites, only one of which is shared by H+.
The H+-coupled hCNT3 did not transport guanosine or
3'-azido-3'-deoxythymidine and 2',3'-dideoxycytidine,
demonstrating that Na+- and H+-bound versions of hCNT3
have significantly different conformations of the nucleoside binding pocket
and/or translocation channel. Chimeric studies between hCNT1 and hCNT3 located
hCNT3-specific cation interactions to the C-terminal half of hCNT3, setting
the stage for site-directed mutagenesis experiments to identify the residues
involved.
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INTRODUCTION
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Physiological nucleosides and synthetic nucleoside analogs have important
biochemical, physiological, and pharmacological activities in humans.
Adenosine, for example, has purino-receptor-mediated functions in processes
such as modulation of immune responses, platelet aggregation, renal function,
and coronary vasodilation (1,
2). Nucleosides also provide
salvage precursors for nucleic acid biosynthesis, and nucleoside drugs are
commonly used in the therapy of cancer and viral infections
(3,
4). Most nucleosides, including
those with antineoplastic and/or antiviral activities, are hydrophilic and
require specialized plasma membrane nucleoside transporter
(NT)1 proteins for their uptake
into or release from cells
(57).
Multiple transport systems for nucleosides have been observed in human and
other mammalian cells and tissues
(79).
The concentrative systems (cit, cif, and
cib)2 are inwardly
directed Na+-dependent processes present primarily in intestinal
and renal epithelia and other specialized cells
(79).
The equilibrative systems (es and ei) mediate bidirectional
downhill transport of nucleosides, have generally lower substrate affinities
than the concentrative systems, and occur in most, possibly all, cell types
(79).
Systems cit and cif transport adenosine and uridine, but are
otherwise pyrimidine and purine nucleoside-selective, respectively, whereas
systems cib, es, and ei transport both pyrimidine and purine
nucleosides. System es is inhibited by nanomolar concentrations of
nitrobenzylthioinosine (NBMPR), whereas system ei also transports
nucleobases
(710).
Molecular cloning studies have identified the human and rodent integral
membrane proteins responsible for each of these nucleoside transport
activities
(1118).
They belong to two previously unrecognized and structurally unrelated protein
families (CNT and ENT), and their relationship to the processes defined by
functional studies is: CNT1 (cit), CNT2 (cif), CNT3
(cib), ENT1 (es), and ENT2 (ei)
(1118).
In addition to ENT1 and ENT2, the ENT protein family also contains three
further human and rodent members (ENT3, ENT4, and CLN3)
(1923).
Human and other eukaryote CNTs have 13 predicted transmembrane helices (TMs),
with an intracellular N terminus and an extracellular C terminus
(24). NupC, an
H+-coupled CNT from Escherichia coli, has a similar
predicted topology, but lacks TMs 13
(25,
26). Other CNT family members
that have been functionally characterized include H+-coupled CeCNT3
and CaCNT from Caenorhabditis elegans
(27) and Candida
albicans (28),
respectively, and Na+-coupled hfCNT from the Pacific hagfish
(Eptatretus stouti)
(29,
30).
Human and mouse CNT3 (hCNT3 and mCNT3) are the most recent mammalian CNT
family members to be identified
(18) and, together with
cib-type hagfish CNT (hfCNT)
(30), form a phylogenetic CNT
subfamily separate from the mammalian CNT1/2 subfamily
(18). In addition to
differences in substrate selectivities, members of the two subfamilies also
differ in the stoichiometry of Na+/nucleoside coupling. Contrary to
a recent report in this journal
(31), for example, we have
shown that hCNT1 has a Na+/nucleoside coupling ratio of 1:1
(32), whereas the coupling
ratio of hfCNT is 2:1 (30).
Here, we extend these investigations and present a mechanistic and chimeric
analysis of cation coupling in hCNT3. The results validate our previously
reported differences in cation coupling between the CNT3/hfCNT and CNT1/2
subfamilies and reveal additional novel features of CNT3-cation
interactions.
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EXPERIMENTAL PROCEDURES
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hCNT3 cDNAcDNA encoding hCNT3 (GenBankTM accession
number AF305210
[GenBank]
) in the enhanced Xenopus plasmid expression vector
pGEM-HE (33) with flanking
5'- and 3'-untranslated regions from the Xenopus
-globin gene was obtained as previously described
(18).
In Vitro Transcription and Expression in Xenopus
OocyteshCNT3 plasmid DNA was linearized with NheI and transcribed
with T7 polymerase using the mMESSAGE mMACHINETM (Ambion, Austin, TX)
transcription system. The remaining template was removed by digestion with
RNase-free DNase1. Stages VVI oocytes from Xenopus laevis were
treated with collagenase (2 mg/ml) for 2 h, and remaining follicular layers
were removed by phosphate treatment (100 mM
K2PO4) and manual defolliculation
(11). Twenty-four hours after
defolliculation, oocytes were injected with either 10 nl of water containing
10 ng of RNA transcript encoding hCNT3 or 10 nl of water alone. Injected
oocytes were then incubated for either 4 days (radioisotope flux studies) or
47 days (electrophysiology) at 18 °C in modified Barth's solution
(changed daily) (88 mM NaCl, 1 mM KCl, 0.33
mM Ca(NO3)2, 0.41 mM
CaCl2, 0.82 mM MgSO4, 2.4 mM
NaHCO3, 10 mM Hepes, 2.5 mM sodium pyruvate,
0.05 mg/ml penicillin, and 0.1 mg/ml gentamycin sulfate, pH 7.5).
Transport MediaUnless otherwise stated,
electrophysiological and radioisotope flux studies used
Na+-containing transport medium composed of 100 mM NaCl,
2 mM KCl, 1 mM CaCl2, 1mM
MgCl2, and 10 mM Hepes (for pH values
6.5) or 10
mM MES (for pH values
6.5). In experiments examining the
Na+ dependence of transport (i.e. where the indicated
Na+ concentration is <100 mM), Na+ in the
transport medium was replaced by equimolar choline chloride (ChCl) to maintain
isomolarity. Proton dependence was tested in Na+-free
choline-containing transport medium (100 mM ChCl) at pH values
ranging from 4.5 to 8.5. Experiments testing Li+ coupling of
transport were performed in medium at pH 8.5 containing Li+ (100
mM LiCl) in place of Na+.
Electrophysiological StudiesNucleoside-evoked membrane
currents were measured in hCNT3-producing oocytes at room temperature (20
°C) using a GeneClamp 500B oocyte clamp (Axon Instruments Inc., Foster
City, CA) in the two-electrode, voltage clamp mode. The GeneClamp 500B was
interfaced to an IBM-compatible PC via a Digidata 1200A/D converter and
controlled by pCLAMP software (version 8.0, Axon Instruments Inc.). The
microelectrodes were filled with 3 M KCl and had resistances that
ranged from 0.5 to 2.5 megohms. Oocytes were penetrated with the
microelectrodes, and their membrane potentials were monitored for periods of
1015 min. Oocytes were discarded when membrane potentials were
unstable, or more positive than 30 mV. Unless otherwise indicated, the
oocyte membrane potential was clamped at a holding potential
(Vh) of 50 mV, and nucleoside was added in the
appropriate transport medium at a concentration of 100 µM.
Current signals were filtered at 20 Hz (four-pole Bessel filter) and sampled
at a sampling interval of 20 ms. For data presentation, the signals were
further filtered at 0.5 Hz by the pCLAMP program suite.
In protonophore studies, carbonyl cyanide m-chlorophenylhydrazone
(CCCP) (100 µM) was preincubated with oocytes for 15 min prior
to measuring uridine-evoked currents (100 µM) in
Na+-free medium (100 mM ChCl, pH 5.5). Stock solutions
of CCCP were dissolved in Me2SO. Control experiments confirmed that
oocytes were unaffected by Me2SO at its final concentration of 0.5%
(w/v).

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FIG. 1. Effects of Na+, H+, and Li+ on the
transport activities of oocytes expressing recombinant hCNT3. Radiolabeled
fluxes of uridine (20 µM, 20 °C, 1-min flux) in
hCNT3-producing oocytes were measured in transport media containing
Na+ (black bar; 100 mM NaCl, pH 7.5), choline
(open bars; 100 mM ChCl, pH 5.58.5), or
Li+ (gray bar; 100 mM LiCl, pH 8.5). Values
were corrected for basal non-mediated uptake in control water-injected oocytes
and are means ± S.E. of 1012 oocytes. The experiment was
performed on a single batch of oocytes used on the same day.
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Current-voltage (I-V) curves were determined from differences in
steady-state currents generated in the presence and absence of substrate
during 300-ms voltage pulses to potentials between +60 and 110 mV
(10-mV steps). For I-V relations, currents were filtered at 2 kHz (four-pole
Bessel filter) and sampled at a rate of 200 µs/point (corresponding to a
sampling frequency of 5 kHz).
Data from individual electrophysiology experiments are presented as
nucleoside-evoked currents from single representative cells or as mean values
(±S.E.) from four or more oocytes from the same batch of oocytes used
on the same day. Each experiment was repeated at least twice on oocytes from
different frogs. No nucleoside-evoked currents were detected in oocytes
injected with water alone, demonstrating that currents in hCNT3-producing
oocytes were transporter-specific.
Radioisotope Flux StudiesRadioisotope transport assays were
performed as described previously
(11,
18) on groups of 1012
oocytes at 20 °C using 14C-labeled nucleosides (1 µCi/ml) in
200 µl of the appropriate transport medium. Unless otherwise stated,
nucleoside uptake was determined at a concentration of 20 µM.
Following incubation, seven rapid washes in ice-cold choline chloride
transport medium (pH 7.5) removed extracellular label, and individual oocytes
were dissolved in 1% (w/v) SDS for quantitation of cell-associated
radioactivity by liquid scintillation counting (LS 6000 IC, Beckman,
Fullerton, CA). Uptake values represent initial rates of transport (1-min
flux) and are presented as means ± S.E. of 1012 oocytes from
representative experiments. Individual experiments were performed on cells
from single batches of oocytes used on the same day. Transporter-mediated
fluxes were calculated as uptake in RNA transcript-injected oocytes
minus uptake in control water-injected oocytes. Each experiment was
repeated at least twice using oocytes from different frogs.
Kinetic ParametersKinetic parameters calculated from
electrophysiological and radioisotope flux experiments were determined by
least squares fits to the Michaelis-Menten and Hill equations using Sigmaplot
2000 software (Jandel Scientific Software, San Rafael, CA). Those from
electrophysiological experiments were determined from fits to data from
individual oocytes normalized to the Imax value obtained
for that oocyte, and are presented as values (±S.E.) for single
representative oocytes, or as means (±S.E.) of four or more cells.
Those from radioisotope experiments were derived from curve fits to averaged
mediated data from 1012 oocytes, and are presented as means
(±S.E.).
Charge-to-Nucleoside StoichiometryNa+/nucleoside
and H+/nucleoside coupling ratios for hCNT3 were determined by
simultaneously measuring Na+ or H+ currents and
[14C]uridine (200 µM, 1 µCi/ml) uptake under
voltage clamp conditions. Individual hCNT3-producing oocytes were placed in a
perfusion chamber and voltage clamped at Vh of 30,
50, or 90 mV in the appropriate nucleoside-free medium for a
10-min period to monitor baseline currents. When the baseline was stable, the
nucleoside-free medium was exchanged with medium of the same composition
containing radiolabeled uridine. Current was measured for 3 min, and uptake of
uridine was terminated by washing the oocyte with nucleoside-free medium until
the current returned to baseline. The oocyte was then transferred to a
scintillation vial and solubilized with 1% (w/v) SDS for quantitation of
oocyte-associated radioactivity. Nucleoside-induced current was obtained as
the difference between baseline current and the inward uridine current. The
total charge translocated into the oocyte during the uptake period was
calculated from the current-time integral and correlated with the measured
radiolabeled flux for each oocyte to determine the charge/uptake ratio. Basal
[14C]uridine uptake was determined in control water-injected
oocytes (from the same donor frog) under equivalent conditions and used to
correct for endogenous non-mediated uridine uptake over the same incubation
period. Coupling ratios (±S.E.) were calculated from slopes of
least-squares fits of uridine-dependent charge versus uridine
accumulation for eight or more oocytes.

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FIG. 2. Cation/nucleoside currents. A, representative
cation/nucleoside current traces in a single hCNT3-producing oocyte clamped at
50 mV in transport medium containing either Na+ (100
mM NaCl, pH 8.5), choline (100 mM ChCl, pH 5.5), or
Li+ (100 mM LiCl, pH 8.5). The bar denotes
addition of uridine (100 µM) to the bath. No currents were
observed in control water-injected oocytes. B, averaged inward
currents in hCNT3-producing oocytes perfused sequentially with 100
µM uridine in Na+-containing transport medium
(black bar; 100 mM NaCl, pH 8.5), Na+-free
transport medium (open bar; 100 mM ChCl, pH 5.5), and
Na+-free transport medium containing 100 µM CCCP
(gray bar; 100 mM ChCl, pH 5.5). Currents are means
± S.E. of five different oocytes from the same batch of cells used on
the same day.
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Charge-to-Na+
StoichiometryhCNT3-mediated uptake of
22Na+ was optimized for specific activity and transport
rate by using a saturating concentration of uridine (200 µM) and
a 22Na+ concentration of 1 mM, a value close
to the K50 for Na+. Individual hCNT3-producing
oocytes were voltage clamped at 90 mV and perfused with
Na+-free medium (100 mM ChCl, pH 8.5). A stable baseline
current was recorded, and the bath solution was changed for 3 min to one
containing 200 µM uridine, 1 mM
22Na+ (1 µCi/ml), and 99 mM ChCl (pH 8.5).
The solution was changed back to uridine- and Na+-free medium until
the current returned to baseline. The oocyte was then transferred to a
scintillation vial and solubilized with 1% (w/v) SDS for quantitation of
oocyteassociated radioactivity. Testing of each individual hCNT3-producing
oocyte prior to addition of uridine and 22Na+ showed no
shift in the baseline current when the composition of the bath solution was
changed from 100 mM ChCl to 1 mM NaCl plus 99
mM ChCl, indicating an absence of detectable hCNT3 Na+
slippage under the experimental conditions used. Similarly, basal
22Na+ uptake in control water-injected oocytes (from the
same donor frog) was determined under equivalent conditions over the same
incubation period and used to correct for endogenous non-mediated
Na+ uptake. For each hCNT3-producing oocyte, the total charge
translocated during the uptake period was calculated from the current-time
integral and correlated with the measured 22Na+ flux to
determine charge/uptake ratio. The charge-to-Na+ stoichiometry
(±S.E.) was calculated from the slope of a least-squares fit of
uridine-dependent charge versus 22Na+
accumulation for five oocytes.
Construction of Chimeric hCNT3 and hCNT1 TransportershCNT1
cDNA (GenBankTM accession number U62968
[GenBank]
)
(14) was subcloned into the
vector pGEM-HE prior to chimera construction with hCNT3 (already in pGEM-HE)
to enhance expression in Xenopus oocytes. Two sets of overlap primers
were designed at a splice site between Lys314 and Val315
of hCNT3 and the corresponding residues in hCNT1 (Lys293 and
Ile294) in the putative loop linking TM 6 and TM 7 (arrow
in Fig. 11A) to
create reciprocal 50:50 chimeras by a two-step overlap extension PCR method
(30,
34). Chimeric constructs
containing the restriction site KpnI downstream of the M13 forward primer and
the restriction site SphI upstream of the M13 reverse primer were subcloned
into the respective restriction sites of the pGEM-HE vector. The chimeras were
sequenced in both directions to verify the splice sites and ensure that no
mutations had been introduced.
ChemicalsNucleosides and CCCP were purchased from Sigma.
The 14C-labeled nucleosides were purchased from Moravek
Biochemicals (Brea, CA) or Amersham Biosciences. 22Na+
was obtained from Amersham Biosciences.
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RESULTS
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Cation Dependence of hCNT3We have previously used
heterologous expression in Xenopus oocytes in combination with
radioisotope flux assays and the two-microelectrode voltage clamp to
demonstrate that recombinant hCNT3 functions as a broad specificity
cib-type electrogenic Na+/nucleoside symporter
(18). The experiment of
Fig. 1 extended these findings
and demonstrated the effect of an imposed H+ gradient on the
initial rate of hCNT3-mediated uptake (influx) of [14C]uridine (20
µM) measured at extracellular pH values ranging from 5.5 to 8.5
under Na+-free conditions. Choline (Ch+) was substituted
for Na+, and values were corrected for basal non-mediated uptake in
control water-injected oocytes (<0.03
pmol/oocyte·min1 under all conditions tested). A
marked pH dependence of uridine influx was apparent. In 100 mM ChCl
at pH 5.5, for example, hCNT3-mediated uridine influx was 26- fold higher than
at pH 8.5, and was
60% of that obtained in the presence of 100
mM NaCl at pH 7.5. In the absence of either H+ or
Na+, hCNT3 also exhibited Li+-dependent uridine influx
(100 mM LiCl, pH 8.5, versus 100 mM ChCl, pH
8.5). In marked contrast, hCNT1 and hCNT2, the two other human CNT isoforms,
showed no pH-dependent uridine uptake and exhibited very small
Li+-mediated uridine influx (
2% of the corresponding
Na+-mediated uridine flux; data not shown). As illustrated in
Fig. 2, the novel H+
and Li+ dependence of hCNT3 were further investigated by
electrophysiology. External application of 100 µM uridine to a
representative hCNT3-producing oocyte clamped at 50 mV under
Na+-free conditions elicited inward H+ and
Li+ currents that returned to baseline upon removal of substrate
(Fig. 2A). As
demonstrated by the mean current data in
Fig. 2B, H+
currents were markedly inhibited by pre-treatment of oocytes with the
protonophore CCCP. No currents were observed in control water-injected oocytes
(data not shown). Thus, in addition to being Na+-dependent, hCNT3
functioned as an electrogenic H+/nucleoside and
Li+/nucleoside symporter. These findings were also confirmed in
parallel studies of mCNT3 (data not shown). Subsequent experiments focused on
the mechanism(s) of Na+ and H+ coupling of hCNT3.

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FIG. 3. Substrate selectivity and pH dependence of nucleoside transport by
recombinant hCNT3. Oocytes were injected with either water alone or water
containing hCNT3 RNA transcripts. A, averaged nucleoside-induced
inward currents measured by perfusing hCNT3-producing oocytes with 100
µM pyrimidine (uridine, thymidine, and cytidine) or purine
(adenosine, inosine, and guanosine) nucleosides in Na+-containing
transport medium (100 mM NaCl, pH 7.5). Currents are means ±
S.E. of 56 different oocytes from the same batch of cells used on the
same day. B, mean nucleoside-induced inward currents measured by
perfusing hCNT3-producing oocytes with 100 µM pyrimidine and
purine nucleosides in Na+-free transport medium (100 mM
ChCl, pH 5.5 and 8.5). Currents are means ± S.E. of 56 oocytes
from the same batch of cells used on the same day. C, mediated
radiolabeled fluxes of pyrimidine and purine nucleosides (20 µM,
20 °C, 1-min flux) in oocytes injected with hCNT3 RNA transcripts measured
in Na+-free transport media (100 mM ChCl, pH 5.5 and
8.5). Mediated transport was calculated as uptake in RNA-injected oocytes
minus uptake in control water-injected oocytes. Each value represents
the mean ± S.E. of 1012 oocytes obtained from the same batch of
cells and used on the same day. D, mean nucleoside-induced inward
currents measured by perfusing hCNT3-producing oocytes with cytidine, inosine,
or guanosine (100 µM and 1 mM) in Na+-free
transport medium (100 mM ChCl, pH 5.5 and 8.5). Currents are means
± S.E. of 56 oocytes from the same batch of cells used on the
same day. In A, B, and D, no currents were observed in
control water-injected oocytes.
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FIG. 4. Nucleoside drug-induced currents in hCNT3-producing Xenopus
oocytes. A, representative inward currents induced by gemcitabine
(100 µM), AZT (1 mM), or ddC (1 mM) in an
hCNT3-producing oocyte in transport medium containing either Na+
(100 mM NaCl, pH 7.5) or choline (100 mM ChCl, pH 5.5).
Uridine-evoked currents in the same hCNT3-producing oocyte were 210 and 90 nA
in Na+-containing and choline-containing transport media,
respectively. B, a comparison of hCNT3-mediated inward currents
following sequential addition of uridine (100 µM), gemcitabine
(100 µM), AZT (1 mM), or ddC (1 mM) to
transport media containing either Na+ (100 mM NaCl, pH
7.5) or choline (100 mM ChCl, pH 5.5). Currents are means ±
S.E. for three different oocytes from the same batch of cells used on the same
day. No currents were observed in control water-injected oocytes.
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Cation-induced Changes in hCNT3 Substrate SelectivityIn
Na+-containing medium at physiological pH 7.5, hCNT3 transports
different radiolabeled physiological pyrimidine and purine nucleosides with
similar apparent Km values and
Vmax:Km ratios
(18). As illustrated by the
mean current data in Fig.
3A, a panel of pyrimidine (uridine, thymidine, and
cytidine) and purine (adenosine, inosine, and guanosine) nucleosides elicited
similar large inward Na+ currents when applied at 100
µM to hCNT3-producing oocytes in NaCl transport medium at pH
7.5. The corresponding inward currents generated by the same panel of
nucleosides under Na+-free conditions were measured in ChCl
transport medium of increasing acidity (pH 8.5, 7.5, 6.5, and 5.5). For
clarity of presentation, only values obtained at pH 5.5 and 8.5 are shown in
Fig. 3B. Similar to
the trend seen for uridine in Fig.
1, inward pH-dependent nucleoside-evoked currents were evident for
uridine, thymidine, and adenosine, were less marked for cytidine and inosine,
and were absent for guanosine. A corresponding selectivity profile for hCNT3
H+/nucleoside cotransport was obtained in radioisotope nucleoside
influx assays (Fig.
3C). Those nucleosides in
Fig. 3 (B and
C) that exhibited the lowest transport activity in
Na+-free acidified medium (cytidine, inosine, and guanosine) were
also tested by electrophysiology at a higher substrate concentration of 1
mM (Fig.
3D). Substrate-induced H+ currents were
confirmed for cytidine and inosine, whereas guanosine-evoked currents remained
low and pH-independent. For all nucleosides and conditions tested, no currents
were evident (data not shown) and basal non-mediated radioisotope fluxes were
<0.07 pmol/oocyte·min1 in control water-injected
oocytes. Na+- and H+-coupled hCNT3 therefore exhibited
markedly different selectivity profiles for physiological nucleosides.

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FIG. 5. Voltage dependence of hCNT3-mediated currents. A, time
course of transmembrane currents recorded from a representative
hCNT3-producing oocyte in the presence of 100 µM external
uridine (100 mM NaCl, pH 8.5) in response to 300-ms voltage pulses
from a holding potential of 50 mV (left trace). Currents are
shown at four different test potentials only (Vt = +50,
10, 60, and 110 mV). The capacitive transients have been
truncated to clearly demonstrate the steady-state currents. The right
trace shows corresponding currents from the same oocyte recorded in the
same transport medium in the absence of uridine. The records are offset to
zero. B, the current-voltage (I-V) curves for hCNT3 were generated
from the difference between steady-state currents recorded in the presence and
absence of 100 µM uridine in Na+-containing (open
circles; 100 mM NaCl, pH 8.5) or choline-containing (solid
circles; 100 mM ChCl, pH 5.5) transport media upon voltage
pulses from Vh of 50 mV to final potentials ranging
between +60 and 110 mV, in 10-mV steps. The data are from the same
oocyte as in A. No uridine-induced currents were observed in control
water-injected oocytes.
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This difference in substrate selectivity between Na+- and
H+-coupled hCNT3 extended to interactions with therapeutic
nucleoside analogs. In Na+-containing medium at physiological pH
7.5, hCNT3 efficiently transports the anticancer nucleoside drug gemcitabine,
and mediates lower, but still significant, fluxes of the antiviral nucleoside
drugs AZT, ddC, and ddI (18).
As shown by the traces from a single representative oocyte in
Fig. 4A and by the
mean current data in Fig.
4B, gemcitabine (100 µM) elicited inward
Na+ and H+ currents that returned to baseline upon
removal of substrate, whereas ddC and AZT (1 mM) produced inward
currents only in the presence of Na+. No currents were detected in
control water-injected oocytes (data not shown). The inability of
H+-coupled hCNT3 to support ddC and AZT transport was confirmed in
parallel radioisotope flux experiments (data not shown).
Voltage Dependence of hCNT3 Transport
CurrentsFig.
5A shows representative current traces in an
hCNT3-producing oocyte in Na+-containing medium (pH 8.5) before and
after perfusion with 100 µM uridine in an experiment undertaken
to examine the effects of membrane potential on uridine-induced steady-state
currents. Currents evoked by uridine at potentials between +60 and 110
mV were voltage-dependent and increased as the membrane potential became more
negative (Fig. 5B).
Uridine-induced Na+ currents approached zero but did not reverse
polarity at potentials up to +60 mV. Measured in the same oocyte,
uridine-induced H+ currents (ChCl, pH 5.5) were approximately half
those in Na+-containing medium and exhibited a similar voltage
dependence. In other experiments performed over a wider Vh
range, uridine-induced Na+ and H+ currents did not
saturate at negative potentials up to 150 mV (data not shown).
Voltage Dependence of hCNT3 Transport KineticsThe effects
of membrane potential on hCNT3 transport kinetics in the presence of external
Na+ were examined in detail by measuring the apparent affinities
for uridine (Km) and Na+
(K50) and the uridine-evoked maximum current
(Imax) at four different holding potentials
(Vh =10, 30, 50, and 70 mV)
(Fig. 6).
Km was determined in transport medium containing either 10
or 100 mM NaCl (pH 8.5), and mean values plotted as a function of
Vh are summarized in
Fig. 6C. As
representative examples of the kinetic data used to generate
Km values, Fig. 6,
A and B, show uridine concentration dependence
curves recorded from individual oocytes at a membrane potential of 10
mV and external Na+ concentrations of 10 and 100 mM,
respectively. K50 was determined at an external uridine
concentration of 100 µM (pH 8.5), and mean values plotted as a
function of Vh summarized in
Fig. 6E. The
representative single oocyte Na+-activation curve shown in
Fig. 6D was measured
at a holding potential of 10 mV. Imax values were
determined independently at a saturating external uridine concentration of 100
µM and a Na+ concentration of 100 mM (pH
8.5) (Fig. 6F).
As demonstrated in Fig.
6C, Km was unaffected by membrane
potential at 100 mM external Na+, but was
voltage-dependent at 10 mM Na+, decreasing from 24 to
7.3 µM as the membrane potential was made more negative. At high
negative potentials, the Km value at 10 mM NaCl
approached that observed at 100 mM external Na+,
suggesting that the effect of membrane potential on Km was
predominantly the result of voltage dependence of Na+ binding
(35,
36). Consistent with this, we
found that the Na+ K50 value decreased from 5.3
mM at 10 mV to 2.1 mM at 70 mV
(Fig. 6E). As shown in
Fig. 6F,
Imax also increased as the membrane potential was made
more negative. At a holding potential of 10 mV (100 mM
NaCl), the mean uridine-evoked inward current was 37 nA. This increased to 97
nA at 70 mV, a trend that was similar to the I-V relationship shown in
Fig. 5B. Calculated
over the same limited Vh range (10 to 70
mV), I-V curves for five oocytes gave an e-fold change (±S.E.)
in current per 77 ± 4 mV, compared with 67 ± 11 mV for the data
in Fig. 6F.
Imax reflects movement of the loaded and empty carrier
(36). Similar to the
Na+/glucose cotransporter SGLT1, therefore, membrane potential
influenced both ion binding and carrier translocation
(35,
36).

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FIG. 6. Voltage dependence of the transport kinetics of hCNT3. A,
uridine concentration-response curve measured in a single representative
hCNT3-producing oocyte at an external Na+ concentration of 10
mM (pH 8.5) and a membrane potential of 10 mV. Currents at
each uridine concentration were normalized to the fitted
Imax value for that oocyte (±S.E.) of 52 ± 1
nA. The Km value was 32 ± 3 µM.
B, recordings from a single representative hCNT3-producing oocyte
demonstrating a corresponding experiment at the same membrane potential
(10 mV) in the presence of 100 mM external Na+
(pH 8.5). Currents were normalized to the fitted Imax of
55 ± 3 nA. The Km was 7.6 ± 1.1
µM. C, the effect of membrane potential on uridine
Km was determined at external Na+
concentrations of 10 mM (open circles) and 100
mM (solid circles) (pH 8.5) and holding potentials of
10, 30, 50, and 70 mV. Km
values at each membrane potential were obtained from fits to data from
individual oocytes normalized to the Imax value obtained
for that cell and are presented as means ± S.E. of 48 oocytes.
D, Na+ concentration-response curve (pH 8.5) measured in a
single representative hCNT3-producing oocyte at a membrane potential of
10 mV (100 µM uridine). Currents at each Na+
concentration were normalized to the fitted Imax value of
43 ± 2 nA. The Na+ K50 was 5.5 ±
0.5 mM. E, the effect of membrane potential on
Na+ K50 was determined at holding potentials of
10, 30, 50, and 70 mV (100 µM
uridine, pH 8.5). K values at each membrane potential were obtained
from fits to data from individual oocytes normalized to the
Imax value obtained for that cell 50and are
presented as means ± S.E. of 57 oocytes. F, the effect
of membrane potential on maximum current (Imax) was
determined at holding potentials of 10, 30, 50, and
70 mV in the presence of 100 mM external Na+ (pH
8.5) and a saturating concentration of uridine (100 µM). Each
value is the mean ± S.E. of 34 oocytes from the same batch of
cells used on the same day. No currents were observed in control
water-injected oocytes. Note: to more accurately determine
Km and K50 values (panels
AE), kinetic experiments at low membrane potentials were performed
on preselected oocytes with maximal currents 40 nA. The effect of
membrane potential on Imax (panel F) was measured
independently in a separate experiment.
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Cation Dependence of Uridine Transport
KineticsFig. 7
shows the concentration dependence of [14C]uridine influx in
Na+- and choline-containing transport media at pH 5.5 and 7.5
measured in both hCNT3-producing and control water-injected oocytes. Kinetic
parameters (Km and Vmax) derived from
these data for the hCNT3-mediated component of influx (uptake in RNA
transcript-injected oocytes minus uptake in water-injected oocytes)
are presented in Table I.
Removal of extracellular Na+ at pH 7.5 led to a greater than
30-fold increase in the Km value for uridine influx from
17 to 580 µM that was partially offset by a small (1.6-fold)
increase in Vmax (Fig.
7, A and B). As shown in
Fig. 7D, the decrease
in uridine apparent affinity was substantially reversed by acidification of
the transport medium to pH 5.5 (uridine Km 110
µM). In contrast, acidification of the transport medium in the
presence of Na+ had only modest effects on uridine transport
kinetics (Fig. 7, A and
C). Vmax:Km
ratios, a measure of transporter efficiency, were as follows: 2.0 in the
presence of Na+ (NaCl, pH 7.5), 0.09 in the absence of
Na+ (ChCl, pH 7.5), 0.58 in the presence of H+ (ChCl, pH
5.5), and 1.7 with both cations (Na+ plus H+) present
(NaCl, pH 5.5). Therefore, Na+ and H+ activated hCNT3
through mechanisms resulting in increased uridine apparent binding affinity.
Relative to Na+ alone, Na+ plus H+ elicited
no further shift in uridine Km, suggesting that the two
cations exert their effects by binding to a common or overlapping site(s).

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FIG. 7. Kinetic properties of Na+- and H+-coupled
hCNT3. Initial rates of [14C]uridine uptake (20 °C, 1-min
flux) were measured in Na+-containing (100 mM NaCl) and
choline-containing (100 mM ChCl) transport media at either pH 7.5
(A and B, respectively) or pH 5.5 (C and
D, respectively) in oocytes injected either with water alone
(open circles) or with water containing hCNT3 RNA transcripts
(solid circles). All of the fluxes were performed on the same batch
of oocytes used on the same day. Kinetic parameters derived from these data
for the hCNT3-mediated component of transport (uptake in RNA
transcript-injected oocytes minus uptake in water-injected oocytes)
are presented in Table I.
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Na+ and H+ Activation
KineticsThe relationship between hCNT3-mediated uridine-evoked
current and Na+ concentration (pH 8.5) was measured in oocytes
clamped at 50 mV at three different uridine concentrations (5, 25, and
100 µM). Kinetic parameters derived from these experiments are
presented in Table II. As
reported previously for hCNT3 (and mCNT3) based on [14C]uridine
influx experiments (18), and
as illustrated in Fig.
8A for a single representative oocyte measured at a
uridine concentration of 5 µM, the Na+ activation
curve was sigmoidal with a Hill coefficient (n) consistent with an
apparent Na+/nucleoside coupling stoichiometry of 2:1 (see also
Fig. 6D). Both the
apparent affinity for Na+ (K50) and the maximal
current (Imax) increased as the external concentration of
uridine was raised (Table II).
This pattern resembled that found for hCNT1
(32) and was consistent with a
sequential mechanism of transport in which Na+ binds to the
transporter first, increasing its affinity for nucleoside, which then binds
second
(3740).
Parallel flux experiments with [14C]uridine produced similar
findings (data not shown).
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TABLE II Na+ and H+ activation kinetics of hCNT3
Hill coefficients (n) and apparent affinities
(K50) for Na+ were determined from
Na+ concentration response curves (0100 mM NaCl,
pH 8.5) in hCNT3-producing oocytes measured at uridine concentrations of 5,
25, and 100 µM (see Fig.
8A for a representative experiment at 5 µM
uridine). Those for H+ were determined from H+
concentration response curves (pH 8.54.5) measured in
Na+-free transport medium (100 mM ChCl) at a uridine
concentration of 100 µM (see
Fig. 8B for a
representative experiment). Values were obtained from fits to data from
individual oocytes normalized to the fitted Imax value
obtained for that cell and are presented as means ± S.E.
Imax values (nA) (±S.E.) in the presence of
Na+ were determined separately at a saturating concentration of
uridine (100 µM) with 100 mM external Na+
(pH 8.5) in oocytes from a single batch of cells used on the same day. The
numbers in parentheses denote the number of oocytes. The membrane potential
was 50 mV.
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The relationship between hCNT3 current evoked by 100 µM
uridine and external pH in the absence of Na+ (ChCl, pH
8.54.5) was also investigated (Table
II). As illustrated for the representative oocyte in
Fig. 8B, and in
contrast to the sigmoidal activation curve observed for Na+, a plot
of current versus H+ concentration was hyperbolic with a
Hill coefficient (n) consistent with a H+/nucleoside
coupling stoichiometry of 1:1. Parallel [14C]uridine influx
experiments revealed similar hyperbolic H+ activation kinetics
(data not shown). Apparent K50 values for H+
and Na+ differed by four orders of magnitude (480 nM and
2.45.9 mM, respectively)
(Table II).
Na+/Nucleoside and
H+/Nucleoside Coupling RatiosThe
Na+/uridine and H+/uridine stoichiometries of hCNT3 were
directly determined by simultaneously measuring uridine-evoked currents and
[14C]uridine uptake under voltage clamp conditions, as described
previously for SGLT1 (41), the
rat kidney dicarboxylate transporter SDCT1
(42) and, most recently, for
hCNT1 (32), hfCNT
(30), and CaCNT
(28). Each data point in
Fig. 9 (AF)
represents a single oocyte, and the Na+/nucleoside or
H+/nucleoside coupling ratio is given by the slope of the linear
fit of charge (picomoles) versus uptake (picomoles)
(Table III).
The first series of experiments was performed in Na+-containing
transport medium at pH 8.5, and at holding potentials of 30, 50,
and 90 mV to determine the Na+/nucleoside coupling ratio and
its voltage dependence. At a holding potential of 30 mV, the linear
correlation between uridine-dependent charge and uridine accumulation gave a
stoichiometry of 1.4 (Fig.
9A) (Table
III). This increased to 1.6 at 50 mV and 1.9 at 90
mV (Fig. 9, B and
C) (Table
III). In marked contrast, parallel experiments performed in
Na+-free ChCl transport medium at pH 5.5 to determine the
H+/nucleoside coupling ratio at Vh 30,
50, and 90 mV found voltage-independent stoichiometries in the
range 0.921.1 (Fig. 9,
DF) (Table
III). The same analysis was also performed in the presence of
Na+ and H+ (NaCl, pH 5.5). As summarized in
Table III, coupling ratios were
voltage-independent and in the range 1.92.0.
Charge-to-Na+ StoichiometryThe
relationship between uridine-evoked charge influx (picomoles) and
22Na+ uptake (picomoles) was measured in five oocytes
clamped at 90 mV (Fig.
10). A linear fit of the data gave a regression line with a slope
of 0.97, indicating that one net inward positive charge was transported for
every Na+ ion cotransported with uridine into the cell
(Table III).

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FIG. 8. Na+ and H+ activation of hCNT3. A,
Na+ activation curve in a single representative hCNT3-producing
oocyte measured in transport medium containing 0100 mM NaCl
(pH 8.5) at a uridine concentration of 5 µM and a membrane
potential of 50 mV. Currents were normalized to the fitted
Imax (±S.E.) of 53 ± 3 nA. The
inset in A is a Hill plot of the data. The
K50 was 7.0 ± 0.6 mM, and the Hill
coefficient was 1.6 ± 0.2. No currents were observed in control
water-injected oocytes. Results from mean Na+-activation
experiments performed at different uridine concentrations are presented in
Table II. B,
H+-activation curve in a single representative hCNT3-producing
oocyte measured in Na+-free transport medium (100 mM
ChCl) at pH 8.54.5 and a membrane potential of 50 mV. Currents
were normalized to the fitted Imax of 120 ± 11 nA.
The inset in B is a Hill plot for the data. The
K50 was 470 ± 99 nM, and the Hill
coefficient was 0.68 ± 0.06. No currents were observed in control
water-injected oocytes. Mean H+-activation data from six individual
oocytes are summarized in Table
II.
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Characterization of hCNT3/hCNT1 ChimerashCNT3 and
hCNT1 are 48% identical and 57% similar in predicted amino acid sequence, with
the strongest residue conservation in TMs of the C-terminal halves of the
proteins (Fig. 11A).
The major differences lie in the putative N- and C-terminal tails and in the
first three TMs. To localize domains involved in cation recognition, a chimera
(hCNT3/1), in which the C-terminal half of hCNT3 (incorporating TMs
713) was replaced with that of hCNT1, was constructed. The splice site
between the two proteins following hCNT3 residue Lys314 was
engineered at the beginning of the putative extramembraneous loop prior to TM
7 to divide the proteins into two approximately equal halves and to minimize
disruption of native TMs and loops. The resulting hCNT3/1 chimeric protein was
functional when produced in Xenopus oocytes and exhibited hCNT1-like
substrate selectivity for influx of 20 µM radiolabeled
pyrimidine and purine nucleosides (NaCl, pH 7.5): uridine, thymidine, cytidine

adenosine, and no detectable transport of guanosine or inosine
(Fig. 11B). The
reciprocal chimera (hCNT1/3), representing a 50:50 construct incorporating the
N-terminal half of hCNT1 and the C-terminal half of hCNT3, was non-functional
and not studied further. As shown in Fig.
11C, hCNT3/1 was Na+-dependent, but
H+-independent, demonstrating that the structural features
determining H+ coupling reside in the C-terminal half of the
protein. Similar to hCNT1 (14,
32), the relationship between
hCNT3/1-mediated [14C]uridine influx and Na+
concentration at pH 7.5 was hyperbolic with a Hill coefficient (n) of
1.0 ± 0.1 (Fig.
11D), a value consistent with a Na+/nucleoside
coupling stoichiometry of 1:1.

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FIG. 9. Stoichiometries of Na+/uridine and H+/uridine
cotransport by recombinant hCNT3. Charge to [14C]uridine uptake
ratio plots were generated with 9 to 10 different hCNT3-producing oocytes in
Na+-containing transport media (100 mM NaCl, pH 8.5) at
membrane holding potentials Vh =30 mV (A),
Vh =50 mV (B), and Vh
=90 mV (C). Similar conditions were used for
DF (n = 9) except that Na+ in the
transport buffer was replaced by choline (100 mM ChCl), and the
medium was acidified to pH 5.5. Integration of the uridine-evoked current was
used to calculate the net cation influx (charge) and was correlated to the net
[14C]uridine influx (flux). Linear regression analysis of the data
for each plot is indicated by the solid line. The dashed
line indicates a theoretical 2:1 charge:uptake ratio in
AC (presence of Na+) and a 1:1 charge:uptake ratio
in DF (presence of H+). Linear fits passed through
the origin. Stoichoimetries (±S.E.) obtained from these data and from
corresponding experiments performed in Na+-containing transport
media (100 mM NaCl) at pH 5.5 (i.e. in the presence of
both Na+ and H+) are summarized in
Table III.
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DISCUSSION
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The CNT protein family in humans is represented by three members, hCNT1,
hCNT2, and hCNT3, corresponding to concentrative nucleoside transport
processes cit, cif, and cib, respectively. hCNT3 is a
transcriptionally regulated electrogenic transport protein that, unlike hCNT1
and hCNT2, transports a broad range of pyrimidine and purine nucleosides and
nucleoside drugs (18). hCNT3
and its mouse ortholog mCNT3 are more closely related in sequence to the
prevertebrate hagfish transporter hfCNT
(30) than to mammalian CNT1/2,
and thus form a separate CNT subfamily. The present study utilized
heterologous expression in Xenopus oocytes in combination with
electrophysiological, radioisotope flux, and chimeric experiments to
characterize the selectivity, mechanism, energetics, and structural basis of
hCNT3 cation coupling. Parallel experiments with mCNT3 confirmed the general
applicability of the reported findings.
Unlike hCNT1 and hCNT2, which are largely Na+-specific, hCNT3
exhibited Na+, H+, and Li+ dependences, all
three cations supporting electrogenic uridine influx. In this regard, hCNT3
resembles the mammalian concentrative glucose transporters SGLT1 and SGLT3,
the bacterial MelB melibiose transporter, and the mammalian
Na+/dicarboxylate cotransporter SDCT1/NaDC-1, all of which can also
utilize Na+, H+, or Li+ to drive cellular
accumulation of substrate
(4246).
Consistent with an intracellular oocyte pH of 7.37.6
(47), nucleoside-evoked
H+ currents were minimal at external pH values of 7.5 or higher.
Use of CCCP to dissipate the imposed H+ electrochemical gradient
across the cell membrane (48,
49) decreased the
uridine-evoked current in acidified Na+-free medium by
60%,
confirming that hCNT3 is coupled to the proton-motive force. H+ and
Li+ coupling within the CNT3/hfCNT subfamily is unique to h/mCNT3
and is not shared by hfCNT
(30). In contrast, some other
CNTs function exclusively as H+/nucleoside symporters, including
NupC from E. coli, CeCNT3 from C. elegans, and CaCNT from
C. albicans
(2628).
Na+/nucleoside and H+/nucleoside symport by hCNT3
exhibited markedly different selectivity characteristics for physiological
nucleosides and therapeutic nucleoside drugs, suggesting that Na+
and H+ binding induce cation-specific conformational changes in the
hCNT3 substrate-binding pocket and/or translocation channel. For
H+-coupled hCNT3, this was reflected in markedly reduced transport
activity for thymidine, cytidine, adenosine, and inosine, and inability to
transport guanosine, AZT, and ddC. In a possibly related phenomenon,
functional studies with microglia have shown that an inwardly directed
H+ gradient can inhibit AZT uptake
(50). Microglia have
cib-type activity as a major component of their nucleoside transport
machinery (51).
Consistent with results of recent studies of hCNT1
(32), the
proton/myo-inositol cotransporter
(38), and SGLT1
(39), hCNT3 kinetic
experiments revealed an ordered binding mechanism. Na+ removal
increased the transporter's Km for uridine by more than
30-fold, this being accompanied by a smaller (1.6-fold) increase in
Vmax. Limiting the concentration of Na+ can
therefore be overcome by increasing the concentration of uridine to reach
similar maximal rates of transport
(3740).
In contrast, limiting the concentration of uridine reduced both the apparent
affinity of hCNT3 for Na+ and the maximal current. Na+
therefore binds to hCNT3 first, followed by nucleoside. Like SGLT1
(44), the apparent affinity of
hCNT3 for H+ was four orders of magnitude higher than for
Na+. H+ and Na+ binding to SGLT1 also lead to
cation-specific conformational changes, which, like hCNT3, were reflected in a
decrease in sugar-binding affinity and transport efficiency of the
H+-coupled transporter
(45). In the case of hCNT3,
substitution of H+ for Na+ resulted in a 6-fold change
in uridine apparent affinity, and a decrease of
70% in
Vmax:Km ratio
(Table I). Unlike hCNT3,
however, H+-coupled SGLT1 exhibited only modest changes in sugar
specificity compared with the Na+-coupled transporter
(45). Similar to SGLT1,
hCNT3-mediated Na+/nucleoside and H+/nucleoside symport
were voltage-dependent (35,
36). The apparent affinity of
hCNT3 for uridine was voltage-insensitive at high external Na+
concentrations, but voltage-dependent when the concentration of Na+
was reduced, suggesting that the voltage dependence of the transporter's
apparent affinity for uridine may be due to the voltage dependence of
Na+ binding (35,
36). This was supported by
experiments showing a similar voltage dependence of the apparent affinity of
hCNT3 for Na+. As in the case of SGLT1, these results are
indicative of the presence of an ion well effect
(35,
36), with pre-steady-state
electrophysiological studies suggesting that Na+ binds to hCNT3
40% within the membrane electric field
(52).
Na+/nucleoside and H+/nucleoside I-V curves and the
effect of membrane potential on Imax values suggest that
membrane potential also influences carrier translocation. This is consistent
with the fact that the driving force for an electrogenic transporter is
dependent on not only the gradients of substrate and cotransported ion, but
also on the membrane potential.

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FIG. 10. Charge-to-Na+ stoichiometry of hCNT3. The charge to
22Na+ uptake plot was generated from five different
hCNT3-producing oocytes at a membrane potential of 90 mV. The sodium
and uridine concentrations were 1 mM (pH 8.5) and 200
µM, respectively. Linear regression analysis of the data is
indicated by the solid line (see
Table III for the fitted
slope). The dashed line indicates a theoretical charge: uptake ratio
of 1:1. The linear fit passed through the origin.
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Based on indirect Hill-type analyses of the relationship between nucleoside
influx and Na+ concentration, Na+/nucleoside
stoichiometries of 1:1 have been described for cit and cif
transport activities in different mammalian cells and tissues
(79)
and for recombinant rCNT1 and hCNT1 produced in Xenopus oocytes
(32,
53). Although Larráyoz
et al. (31) have
reported a hCNT1 Na+/nucleoside coupling ratio of 2:1 based on
results of direct charge versus [3H]uridine and
22Na+ uptake studies, we have recently confirmed that
the stoichoimetry of hCNT1 is 1:1
(32). H+-dependent
CaCNT also exhibits a coupling ratio of 1:1
(28). In marked contrast,
there is evidence from Na+-activation studies of mammalian
cib transporters (14,
18,
54) and from charge
versus uridine uptake experiments with hagfish hfCNT
(30) that members of the
CNT3/hfCNT subfamily have a coupling ratio of 2:1. The charge versus
uridine and charge versus Na+ uptake experiments reported
here for hCNT3 confirmed this stoichiometry. The Hill coefficient for
Na+ activation of hCNT3 is close to 2, implying strong
cooperativity between the two Na+-binding sites
(55,
56).

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FIG. 11. Transport properties of chimera hCNT3/1. A, topographical
model of hCNT3 and hCNT1. Potential membrane-spanning -helices are
numbered, and putative glycosylation sites in predicted extracellular
domains in hCNT3 and hCNT1 are indicated by solid and open
stars, respectively. Residues identical in the two proteins are shown as
solid circles. Residues corresponding to insertions in the sequence
of hCNT3 or hCNT1 are indicated by circles containing "+"
and "" signs, respectively. The arrow represents
the splice site used for construction of the chimera. B, uptake of
radiolabeled nucleosides by chimera hCNT3/1. Nucleoside influx (20
µM, 20 °C, 1-min flux) was measured in transport medium
containing 100 mM NaCl at pH 7.5. Mediated transport was calculated
as uptake in RNA transcript-injected oocytes minus uptake in control
water-injected oocytes. C, radiolabeled uridine influx (20
µM, 20 °C, and 1-min flux) by hCNT1, hCNT3, and hCNT3/1 was
measured in transport medium containing 100 mM NaCl at pH 7.5
(black bars) or in Na+-free transport medium (100
mM ChCl) at both pH 5.5 (gray bars) and 7.5 (open
bars). Mediated transport was calculated as uptake in RNA-injected
oocytes minus uptake in control water-injected oocytes. D,
influx of [14C]uridine (20 µM, 20 °C, and 1-min
flux) measured as a function of Na+ concentration at pH 7.5 using
choline as Na+ substitute in oocytes injected with water alone
(open circles) or with water containing hCNT3 RNA transcripts
(solid circles). The inset in B is a Hill plot of
the mediated data (Hill coefficient (n) and Na+ apparent
affinity (K50) presented in the text). Values in
BD are means ± S.E. of 1012 oocytes. Each
experiment in BD was performed on cells from single batches of
oocytes used on the same day.
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Similar to SGLT1 (39,
57,
59), but unique among the
other CNTs that have been examined to date (hCNT1, hfCNT, and CaCNT)
(28,
30,
32), the experimentally
determined Na+/nucleoside coupling ratio of hCNT3 was
voltage-dependent, increasing progressively to its maximum value of 2:1 as the
membrane potential became more negative. As in the case of SGLT1
(59), this may reflect an
effect of membrane potential on Na+ dissociation from the
cytoplasmic face of the transporter, with a consequent reduction in
Na+ recycling back to the external surface of the membrane. Other
transporter families also have individual members with different cation
coupling ratios. For example, members of the SGLT family have been described
with 1:1 and 2:1 Na+/glucose coupling ratios (1:1 for SGLT2 and 2:1
for SGLT1/3) (39,
57,
59,
60). Similarly, the PepT1 and
PepT2 proton-linked peptide transporters have 1:1 and 2:1
H+/peptide coupling ratios, respectively
(61). Mechanistically, the
cation-to-nucleoside coupling ratio determines the energetic cost of transport
and sets the thermodynamic limit to the transmembrane nucleoside gradients
that can be achieved. The concentrative capacity of hCNT3 is therefore greater
than that of either hCNT1 or hCNT2.
In marked contrast to SGLT1, where both Na+ and H+
have the same 2:1 cation/sugar stoichiometries
(44,
59,
62), charge/uptake analyses
revealed an hCNT3 Na+/nucleoside coupling ratio of 2:1
versus 1:1 for H+. Unlike Na+, the
H+ coupling ratio was membrane potential-independent. Charge/uptake
experiments with both Na+ and H+ present together
(Na+-containing transport medium at pH 5.5) revealed features
intermediate between Na+ or H+ alone (2:1 coupling ratio
and voltage-independent), suggesting that both cations contributed to the
driving force under these conditions. The 2:1 charge/uptake coupling ratio
under these conditions implies that one of the two Na+ binding
sites is shared by H+. Because proton-activation experiments gave a
Hill coefficient consistent with a 1:1 H+/nucleoside coupling
ratio, it is unlikely that there exists a second (recycled) H+
bound to hCNT3. The hCNT3 cation binding site shared by Na+ and
H+ is likely to be the same as that responsible for single-site
cation coupling in CNTs that are either exclusively H+-dependent
(CaCNT, NupC) (26,
28) or
Na+-dependent (hCNT1/2)
(79,
32,
53).
We interpret our results for cation coupling of hCNT3 in terms of the
conformational equilibrium model of secondary active transport developed by
Krupka (63,
64). This modified ordered
binding model of secondary active transport alleviates the stringent
sequential carrier states of earlier models and instead allows for flexible
cation interactions such as those observed for Na+ and
H+ coupling of hCNT3. Because the transporter can accept two
different solutes, cation (A) and nucleoside (S), it is proposed to exist in
two inwardly facing or outwardly facing conformational states: one that binds
cation only (Ti' and To')
and one that binds both cation and nucleoside (Ti'
and To'). Normally, the equilibrium between the two
outwardly facing carrier states overwhelmingly favors the
To' form and requires the addition of cation (two
Na+ ions or one H+ in the case of hCNT3) to
"unlock" or open the nucleoside binding site
(To'A
To'A),
thereby promoting active transport. Both To'S and
To'AS are considered mobile. The finding that
binding of an H+ to one of the two Na+-binding sites is
sufficient to activate nucleoside transport presents an experimental paradigm
to enable mutageneic dissection of amino acid residues contributing to each of
the sites. Our 50:50 hCNT3/1 chimera demonstrated that the structural
determinants of cation/nucleoside stoichiometry and H+ dependence
reside in the C-terminal half of the protein. Hill-type analysis of
Na+/nucleoside coupling in a corresponding 50:50 chimera between
hfCNT and hCNT1 yielded similar results
(30). The present finding that
determinants of hCNT1 versus hCNT3 nucleoside selectivity also reside
in the C-terminal half of the protein is consistent with previous mutagenesis
experiments that identified residues in TMs 7 and 8 of hCNT1 that, when
sequentially mutated to the corresponding residues in hCNT2, progressively
changed the selectivity of the transporter from cit to cib
to cif (29).
In conclusion, hCNT3 exhibited unique cation interactions with
Na+, H+, and Li+ that are not shared by other
members of the CNT protein family. Both indirect and direct methods indicated
2:1 and 1:1 cation/nucleoside stoichiometries for Na+ and
H+, respectively, and Na+- and H+-coupled
hCNT3 exhibited markedly different selectivities for nucleoside and nucleoside
drug transport. Location of hCNT3-specific cation interactions to the
C-terminal half of the protein sets the stage for site-directed mutagenesis
experiments to identify the residues involved. The ability of hCNT3 to couple
nucleoside and nucleoside drug accumulation to H+ as well as
Na+ cotransport may have physiological and pharmacological
relevance in the duodenum and proximal jejunum where the pH of luminal
contents can be relatively acidic. As well, there is a reported acidic
microenvironment present on the surface of the intestinal epithelium
(58).
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FOOTNOTES
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* This work was supported in part by the National Cancer Institute of Canada,
with funds from the Canadian Cancer Society, the Alberta Cancer Board, the
Heart and Stroke Foundation, Canada, and the Medical Research Council, UK. The
costs of publication of this article were defrayed in part by the payment of
page charges. This article must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section 1734
solely to indicate this fact. 
These authors contributed equally to this work. 
¶ Funded by Studentships from the Alberta Heritage Foundation for Medical
Research. 

A Canada Research Chair in Oncology. 
¶¶
A Heritage Scientist of the Alberta Heritage Foundation for Medical Research.
To whom correspondence should be addressed: Dept. of Physiology, 7-55 Medical
Sciences Bldg., University of Alberta, Edmonton, Alberta T6G 2H7, Canada.
Tel.: 780-492-5895; Fax: 780-492-7566; E-mail:
james.young{at}ualberta.ca.
1 The abbreviations used are: NT, nucleoside transporter; CNT, concentrative
nucleoside transporter; ENT, equilibrative nucleoside transporter; AZT,
3'-az